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SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC

Substance Abuse Rehabilitation Facility·LEBANON, CT·NPI: 1003960022Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.8M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$36.8M

$36,767,593

Total Claims

206K

Beneficiaries

35K

5.9 claims/patient

Avg Cost/Claim

$178

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+19%
2019
$1.4M
-48%
2020
$708K
-8%
2021
$654K
+875%
2022
$6.4M
+120%
2023
$14.0M
-11%
2024
$12.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 40% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$14.9M

78K claims · 40.5%

Your Cost: $189.71/claim|Median: $253.79
0.7× median
H2034Top 25%

Alcohol and/or drug abuse halfway house services, per hour

$9.6M

29K claims · 26.0%

Your Cost: $325.68/claim|Median: $164.03
2.0× median
H0011Top 25%

Alcohol and/or drug services, acute detoxification, per diem

$6.8M

16K claims · 18.5%

Your Cost: $434.92/claim|Median: $317.54
1.4× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$3.2M

32K claims · 8.6%

Your Cost: $99.53/claim|Median: $129.75
0.8× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$729K

7,788 claims · 2.0%

Your Cost: $93.63/claim|Median: $53.41
1.8× median
90791Normal range

Psychiatric diagnostic evaluation

$583K

5,843 claims · 1.6%

Your Cost: $99.85/claim|Median: $99.21
1.0× median
90853Normal range

Group psychotherapy

$361K

19K claims · 1.0%

Your Cost: $18.62/claim|Median: $25.02
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$261K

2,727 claims · 0.7%

Your Cost: $95.71/claim|Median: $108.91
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$160K

2,316 claims · 0.4%

Your Cost: $68.96/claim|Median: $85.66
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$91K

2,050 claims · 0.2%

Your Cost: $44.25/claim|Median: $41.28
1.1× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$78K

1,190 claims · 0.2%

Your Cost: $65.30/claim|Median: $37.81
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$52K

995 claims · 0.1%

Your Cost: $52.73/claim|Median: $63.65
0.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$18K

249 claims · 0.0%

Your Cost: $70.61/claim|Median: $57.85
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$16K

531 claims · 0.0%

Your Cost: $30.00/claim|Median: $25.06
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

159 claims · 0.0%

Your Cost: $49.13/claim|Median: $40.11
1.2× median
98968Normal range

$7K

199 claims · 0.0%

Your Cost: $37.39/claim|Median: $28.39
1.3× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$0

7,658 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37